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51 Possible Causes for Atrial Septal Defect, P Pulmonale, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    The atrial septal defect (ASD) is the most commonly diagnosed congenital defect in adults and has a prevalence of 7.5% of all congenital cardiac anomalies.[] ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[]

  • Large Ventricular Septal Defect

    Atrial Septal Defect Many babies who are born with atrial septal defects (ASDs) have no signs or symptoms.[] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] , loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur[]

  • Pulmonary Valve Stenosis

    Abstract The familial association of pulmonary stenosis, atrial septal defect, and unique electrocardiographic abnormalities involving a mother and two children is reported[] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[] Pulmonary valve stenosis and atrial septal defect are common forms of congenital heart disease; however, their association is relatively rare.[]

  • Left to Right Cardiac Shunt

    septal defect (ASD), 45 with a ventricular septal defect (VSD), and 12 with a patent ductus arteriosus (PDA).[] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[] Commonly encountered CHD with left-to-right shunt include atrial septal defect (ASD), ventricular septal defect (VSD), endocardial cushion defect (ECD) and patent ductus arteriosus[]

  • Atrial Septal Defect

    A sinus venosus ASD that involves the superior vena cava makes up 2 to 3% of all interatrial communication.[] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[]

  • Tetralogy of Fallot

    Abstract This report describes a rare case of Tetralogy of Fallot with associated left superior vena cava and coronary sinus atrial septal defect.[] Supporting criteria Right atrial enlargement (P pulmonale).[] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[]

  • Right Atrial Hypertrophy

    This can be due to obstruction downstream, backwards flow across a leaking (“tricuspid”) valve, a defect in the wall between the Left and Right Atrium (an “Atrial-Septal Defect[] The P-wave amplitude is 2.5 mm in P pulmonale.[] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[]

  • Pulmonary Hypertension

    Abstract We present a case of sinus venosus atrial septal defect in a patient who was previously diagnosed as having primary pulmonary hypertension in a tertiary care center[] […] failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS Bedside ECG – RVH, RAD, p-pulmonale[] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[]

  • Pulmonary Atresia

    A thorough examination revealed platypnea-orthodeoxia syndrome due to an interatrial right-to-left shunt through a secundum atrial septal defect.[] […] second heart sound Diagnostics Pulse oximetry : SpO2 Hyperoxia test : to distinguish cardiac from pulmonary causes of cyanosis ECG : right axis with right heart hypertrophy ; P[] septal defect.[]

  • Endocardial Cushion Defect

    Atrial septal defect (interatrial communication). In: Gatzoulis MA, Webb GD, Daubeney PEF, eds. Diagnosis and Management of Adult Congenital Heart Disease . 3rd ed.[] A systolic murmur of a ventricular septal defect can be heard as well as the systolic murmur of mitral insufficiency.[] […] hypertension; a grade 2 to 3/6 systolic murmur; and sometimes a diastolic murmur at the apex and low left sternal border (see table Heart Murmur Intensity ).[]

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